ABSTRACT
Resumo: Introdução a recomendação mais atual é de que a higiene bucal deve ser iniciada após a erupção do primeiro dente. Porém, há divergência de opiniões a respeito da necessidade ou não da higiene bucal do bebê desdentado. Objetivo: avaliar as práticas maternas de higienização bucal dos bebês menores de 6 meses de idade. Material e método : foi aplicado um formulário digital contendo quatro questões sobre informações sociodemográficas e quatro questões específicas. Foi realizada análise estatística descritiva, e os resultados foram comparados estatisticamente entre as crianças que receberam e não receberam higiene bucal antes dos 6 meses de idade. Resultado: pode-se observar que a idade, a escolaridade e a renda familiar das mães que realizavam higiene bucal de seus filhos antes da erupção do primeiro dente foram maiores do que das mães que não realizavam esse tipo de higiene. A idade das crianças, a idade de erupção do primeiro dente, o recebimento de orientações profissionais e o tipo de aleitamento não diferiram entre os grupos. Conclusão: ainda há uma grande parcela de mães que realiza higiene bucal dos bebês edêntulos.
Abstract: Introduction the starts of oral hygiene after the first tooth eruption is the most current recommendation. However, there are differences of opinion regarding whether or not oral hygiene is necessary for edentulous babies. Objective: to evaluate the maternal practices of oral hygiene of babies under 6 months of age. Material and method: a digital form was applied containing 4 questions about sociodemographic information and 4 specific questions. Descriptive statistical analysis was performed and the results were statistically compared between children who received and did not receive oral hygiene before 6 months of age. Result: it can be observed that the age, education and family income of mothers who performed oral hygiene before the eruption of the first tooth was higher than that of mothers who did not perform this type of hygiene. The age of the children, age of eruption of the first tooth, whether they received professional guidance and type of breastfeeding did not differ between the groups. Conclusion: there is still a large portion of mothers who perform oral hygiene of edentulous babies.
Subject(s)
Humans , Male , Female , Infant , Oral Hygiene , Tooth Eruption , Chi-Square Distribution , Oral Health , Health Education, Dental , Statistics, NonparametricABSTRACT
Abstract: The aim of the present study was to evaluate the long-term effects of the caries treatment provided by a dental care program on changes in schoolchildren's OHRQoL. A one-year follow-up was conducted with a sample of 372 children aged 8 to 10 years which were clinically examined and divided into two matched groups according to their caries experience: dental treatment group (DTG) and group without caries (GWC). Both groups were assessed three times (at baseline, at 4 weeks, and at 1 year) using the Child Perceptions Questionnaire (CPQ8-10). The normality test was performed for the statistical analyses; the Friedman test was used for the dependent variables (longitudinal assessment repeated three times for the same group); and the Mann-Whitney test was used for the independent variables (test and control groups in each time period). There was improvement in all domains and in overall CPQ8-10 (p < 0.0001) in the DTG over time, but no significant changes (p > 0.05) were observed at baseline for overall CPQ8-10 and for the emotional well-being domain in the GWC. The comparison between groups demonstrated that OHRQoL was persistently better for the GWC (p < 0.05) over time. In conclusion, dental caries treatment has a long-term positive impact on schoolchildren's OHRQoL, highlighting the importance of health policies that promote access to dental care for this population.
Subject(s)
Humans , Male , Female , Child , Quality of Life , Oral Health/statistics & numerical data , Dental Care for Children/methods , Dental Caries/therapy , Time Factors , Program Evaluation , Child Welfare , Prospective Studies , Surveys and Questionnaires , Treatment Outcome , Statistics, Nonparametric , Health Services AccessibilityABSTRACT
O objetivo deste trabalho foi analisar os motivos das faltas às consultas odontológicas em Unidades de Saúde da Família (USF) e implementar estratégias para sua redução por meio da pesquisa-ação. O estudo foi realizado em 12 USF de Piracicaba/SP, de 01 de janeiro a 31 de dezembro de 2010. A amostra se consistiu de 385 usuários, entrevistados por telefone, sobre os motivos das faltas, além de 12 cirurgiões-dentistas e 12 enfermeiras. Realizaram-se duas oficinas com os profissionais: uma para problematização dos dados coletados nas entrevistas e elaboração de estratégias; e outra após 4 meses, para avaliação. O maior motivo de faltas foi a coincidência do horário de funcionamento das unidades com o de trabalho dos usuários. Dentre as estratégias ressaltou-se a realização de palestras sobre saúde bucal, educação permanente nas reuniões de equipe, capacitação dos Agentes Comunitários de Saúde, participação em grupos terapêuticos e parcerias entre Equipe de Saúde Bucal e equipamentos sociais da comunidade. A adoção de prontuário único foi a estratégia desafiadora encontrada pelos profissionais. Concluiu-se que as estratégias implementadas levaram à diminuição das faltas em 66,6% e o caráter motivador das oficinas possibilitou a reflexão crítica para o redirecionamento da prática em saúde.
The aim of this study was to analyze the reasons for missed appointments in dental Family Health Units (FHU) and implement strategies to reduce same through action research. This is a study conducted in 12 FHUs in Piracicaba in the State of São Paulo from January, 1 to December, 31 2010. The sample was composed of 385 users of these health units who were interviewed over the phone and asked about the reasons for missing dental appointments, as well as 12 dentists and 12 nurses. Two workshops were staged with professionals: the first to assess the data collected in interviews and develop strategy, and the second for evaluation after 4 months. The primary cause for missed appointments was the opening hours of the units coinciding with the work schedule of the users. Among the strategies suggested were lectures on oral health, ongoing education in team meetings, training of Community Health Agents, participation in therapeutic groups and partnerships between Oral Health Teams and the social infrastructure of the community. The adoption of the single medical record was the strategy proposed by professionals. The strategies implemented led to a 66.6% reduction in missed appointments by the units and the motivating nature of the workshops elicited critical reflection to redirect health practices.